| NPI | 1821264268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01068160) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 036-117107) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 239006) | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2012-05-16 |